Individual
JONATHAN HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11007 RADCLIFF DR, ALLENDALE, MI 49401-9521
(616) 895-6688
Mailing address
11599 SPRUCEVIEW DR, ALLENDALE, MI 49401-8436
(618) 973-5826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005649
MI
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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